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Individual

MRS. SUSAN WILSEY WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C, MSN, RN

Contact information

Practice address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(574) 546-1900
(574) 546-1999
Mailing address
3063 SAWYER RIDGE CT, JACKSONVILLE, FL 32223-1652
(904) 568-5051
(904) 483-3902

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4012116
KY
363LG0600X
Gerontology Nurse Practitioner
34501
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
4012116
KY
363LG0600X
Gerontology Nurse Practitioner
RN2125312
FL

Other

Enumeration date
05/15/2023
Last updated
12/06/2023
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